Medical exams for visitors, students and workers
In-Canada applicants
We’ve extended the temporary public policy to exempt certain foreign nationals in Canada from the immigration medical examination requirement until October 5, 2029. Updated
If you completed an IME within 5 years of submitting your new application, include the IME number (or the unique medical identifier number) from your previous IME in your current application.
Reasons you may be exempt
You may be exempt from completing another IME if you meet all of these conditions:
- you applied or are applying for either permanent residence or temporary residence
- you already live in Canada
- you completed your previous IME in the last 5 years
- your previous IME indicated a low risk or no risk to public health or public safety
On this page
- Who needs a medical exam
- Who can do your medical exam
- When to get your medical exam
- What to bring
- What you need to pay for
- What to do if you can’t complete your medical exam
- What to expect during your exam
Who needs a medical exam
If you plan to stay for 6 months or less
You generally don’t need an immigration medical exam unless you plan to work in certain jobs in which public health must be protected.
Examples of such jobs are
- jobs that bring you into close contact with people, such as
- workers in health care settings
- clinical laboratory workers
- patient attendants in long-term care homes
- medical students admitted to Canada to attend university
- medical electives and physicians on short-term locums
- workers in primary or secondary school settings, or in child-care settings
- domestic workers
- in-home caregivers to children, the elderly or people with disabilities
- other similar jobs
- agricultural workers who’ve visited or lived in one of these countries for 6 months or more in a row in the year before they came to Canada
If you plan to stay for more than 6 months
You need a medical exam if at least one of these applies to you:
- You have lived in or travelled to one or more of these countries or territories for 6 months or more in a row in the year before you come to Canada.
- You’ll come to Canada to work in a job in which public health must be protected.
- You’re applying for a parent and grandparent super visa.
If you need an immigration medical exam, the visa office will tell you what to do next.
Who can do your exam
You must see a doctor on the list of panel physicians. Your own doctor can’t do the medical exam.
The panel physician doesn’t make the final decision about your medical exam. We make that decision. If there’s a problem with your medical exam, we’ll contact you in writing.
When to get your medical exam
You should get your medical exam before you apply. This is called an upfront medical exam.
You can get one if you apply to:
- visit (including parent and grandparent super visa)
- work
- study
To get one, contact a panel physician directly.
What to bring
When you go to your appointment for the medical exam, you must bring
- proper identification
- We strongly recommend you bring your passport as your identification document. You can also use other approved identification documents, including
- a national identity (ID) card
- a driver’s licence issued from one the following countries (if you’re still in that country)
- Australia
- Canada
- New Zealand
- United Kingdom
- United States
- an original birth certificate (if the child is under 18 years old)
- a refugee travel document
- a Red Cross travel document
- a UN laissez-passer
- a seaman’s book
- an Organization of American States travel document
- a refugee protection claimant document
- We strongly recommend you bring your passport as your identification document. You can also use other approved identification documents, including
- eye glasses or contact lenses, if you wear them
- any medical reports or test results that you have for any previous or existing medical conditions
- a list of your current medications
- the Medical Report form (IMM 1017E or IMM1020E), if you don’t get an upfront medical exam
- We’ll send you this form
- 4 recent photographs, if the panel physician doesn’t use eMedical
- Contact the panel physician before your appointment to find out.
If you were previously vaccinated
We encourage you to bring any proof of previous vaccinations, including vaccination against
- diphtheria
- tetanus
- pertussis
- polio
- Haemophilus influenzae type b
- measles
- mumps
- rubella
- rotavirus
- hepatitis B
- COVID-19
The proof of vaccination is not mandatory. If you give consent, the panel physician will
- record your vaccine history
- share the information with us
If you’re referred for an X-ray or other tests, you may be asked to present your identification again when you go for those tests.
What you need to pay for
You must pay all fees related to the medical exam at your appointment, including:
- the fee for the panel physician or radiologist
- any special tests, investigations or treatment needed
- any specialists you need to see
If you choose to get any of the vaccines the panel physician offers you, you may have to pay for them. This depends on the panel physician’s fees and local jurisdiction practices.
If we refuse your application after your medical exam, we won’t refund those fees.
Refugees and asylum seekers may be exempt from paying the fees for
- medical exams
- vaccines
What to do if you can’t complete your medical exam
You or your family member may not be able to complete a medical exam:
- due to exceptional circumstances, or
- because you can’t access a panel physician in your region
If this is the case, please submit a letter of explanation showing why you can’t meet this requirement and we’ll review your request.
You can contact us:
- using the web form(opens in a new tab)
- select “Add a document to your application”
- through our Client Support Centre
What to expect during your exam
When you arrive
The panel physician or clinic staff will ask you for identification to confirm your identity. If you are referred for an x-ray or other tests, you may be asked to present your identification again when you go for those tests. Your picture will also be taken for our records.
Medical history questionnaire
The panel physician will fill out a medical history questionnaire with you. This questionnaire is about any previous or existing medical conditions. They’ll also ask you about any medications you’re taking.
It’s important to tell the panel physician about any previous or existing medical conditions. Processing your medical exam could take longer if you don’t.
Physical examination
You’ll undergo a physical exam.
The panel physician or medical clinic staff will:
- weigh you
- measure your height
- check your hearing and vision
- listen to your heart and lungs
- feel your abdomen
- check how your limbs move
- look at your skin
The panel physician or medical clinic staff won’t examine your genitals or rectal area. These parts of the body aren’t required for the immigration medical exam.
The panel physician may need to examine your breasts. If they do, they will provide you with an explanation of why and how the examination is being done
Other possible tests
Depending on your age, you may be asked to do chest x-rays and laboratory tests at the clinic or a laboratory. This is routine screening and the doctor will discuss any abnormal results with you.
You may be referred to a specialist for more testing, depending on the results of your medical exam. Complete this request as soon as possible to avoid delays in the processing of your medical examination.
Vaccination
You should bring any proof of previous vaccination with you to your exam. If there are vaccines available, the panel physician may offer you vaccinations for preventable diseases.
If you bring proof of vaccinations with you
If you give consent, the panel physician will
- record any proof of vaccine you bring with you
- share the information with us
If you consent to getting vaccinated
If you consent to receive a vaccine and you consent to share this information with us, the panel physician will record and share
- the vaccinations you received
- the dates you were vaccinated
- the reason a vaccination wasn’t offered or administered
Keep all paper copies the panel physician gives you for your personal records.
Vaccination is
- completely voluntary
- not required as part of your exam
We won’t refuse your application if you don’t accept any vaccines.
Get more information about vaccines and immunization
Right to have a chaperone
You have the right to a chaperone at any time during the medical exam.
You may:
- ask the medical clinic to have a staff member in the room
- stop the exam at any time to ask questions about what the doctor is doing
- stop the exam and ask for a chaperone, even if you refused one at first
If you have questions or feel uncomfortable with a part of the exam, please ask the panel physician to stop and tell them about your concerns.
After your exam is done
Once the exam is done, the physician will send us the results.
The physician will give you a document confirming that you had a medical exam. Keep the document with you as proof of your immigration medical exam.
If you’re unsatisfied with how the panel physician or panel radiologist did your medical exam, you may
- complain using our web form or
- contact the Client Support Centre
We welcome all compliments, comments or observations through our feedback form.
Getting a copy of your medical exam results
If you want a copy of your medical exam results, please ask the physician when you’re there.
Medical reports and X-rays that are part of the medical exam become our property. We cannot return them to you.
How to include your medical exam results with your application
If you had an upfront medical exam
When you have an upfront medical exam, the panel physician will provide you with a document confirming your IME was completed. You must include a copy of this document with your application. If you apply online, you must upload this document when you submit your application.
If you had a streamlined medical exam or you had your medical exam after submitting your application
You don’t need to send us anything.
How long your medical results are good for
Your medical exam results are valid for 12 months. If you’re a student or worker, your letter of introduction shows the date your results expire.
If you don’t come to Canada as a visitor, student or worker within that time, you may need to do another exam.
